Epidural Steroid Injections in Scottsdale: Targeted Relief for Spine-Related Pain
Unlock your Natural Healing Power
At Integrated Spine, Pain, and Wellness, we offer epidural steroid injections as part of our comprehensive approach to spine-related pain. If you're experiencing discomfort from conditions such as herniated discs, spinal stenosis, or sciatica, epidural steroid injections may help reduce inflammation and provide relief from nerve-related pain.
Led by Dr. Ashu Goyle—a double board-certified anesthesiologist and interventional pain specialist with fellowship training from the Cleveland Clinic—our practice combines elite credentials with advanced image-guided techniques to deliver precise, effective care.
How Epidural Steroid Injections Work
Epidural steroid injections deliver anti-inflammatory medication directly to the epidural space—the area surrounding your spinal cord and nerve roots. By targeting this specific location, the corticosteroid medication can help reduce inflammation around irritated nerves, potentially providing relief from pain that radiates into the arms or legs.
Precision Through Image Guidance:
At Integrated Spine, Pain, and Wellness, every epidural steroid injection is performed using advanced imaging technology—fluoroscopy (real-time X-ray) or ultrasound—to ensure precise needle placement. This image-guided approach allows Dr. Goyle to visualize the injection in real-time, delivering medication exactly where it’s needed.
What the Injection Contains:
Epidural steroid injections typically contain a corticosteroid (anti-inflammatory medication) combined with a local anesthetic. The anesthetic may provide immediate temporary relief, while the corticosteroid works over the following days to reduce inflammation.
Conditions Addressed with Epidural Steroid Injections
Epidural steroid injections may be appropriate for various spine-related conditions that cause pain through nerve irritation or inflammation. Patients commonly seek this treatment for:
Disc-Related Conditions:
- Herniated discs (cervical, thoracic, or lumbar)
- Bulging discs
- Degenerative disc disease
Nerve-Related Pain:
- Sciatica (pain radiating down the leg)
- Radiculopathy (nerve root irritation)
- Cervical radiculitis (pain radiating into the arm)
Spinal Conditions:
- Spinal stenosis (narrowing of the spinal canal)
- Facet joint-related pain
- Failed back surgery syndrome
- Spondylolisthesis
These conditions can significantly impact daily life, limiting mobility and affecting sleep, work, and activities you enjoy. Epidural steroid injections offer a minimally invasive option that may help reduce inflammation and provide relief.
Types of Epidural Steroid Injections We Offer
At Integrated Spine, Pain, and Wellness, we offer several epidural steroid injection approaches, each tailored to the specific location and source of your pain:
Cervical Epidural Steroid Injection: Targets the neck and upper spine region. Appropriate for conditions causing neck pain or pain radiating into the shoulders and arms, such as cervical disc herniation or cervical radiculopathy.
Thoracic Epidural Steroid Injection: Addresses the mid-back region. Used for conditions affecting the thoracic spine, including thoracic disc herniation or thoracic radiculopathy.
Lumbar Epidural Steroid Injection: Focuses on the lower back. Commonly used for conditions causing low back pain or pain radiating into the legs, such as lumbar disc herniation, lumbar stenosis, or sciatica.
Lumbar Transforaminal Epidural Steroid Injection: A more targeted approach that delivers medication directly to a specific nerve root as it exits the spine. Particularly useful when a specific nerve root has been identified as the source of radiating pain.
Caudal Epidural Steroid Injection: Accesses the epidural space through the sacral hiatus at the base of the spine. Often used for lower lumbar conditions or when other approaches may be technically challenging.
During your consultation, Dr. Goyle will evaluate your condition, review your imaging, and recommend the approach most appropriate for your specific situation.
What to Expect: Before, During, and After Your Procedure
Before Your Procedure:
Consultation: Dr. Goyle will review your medical history, examine you, discuss your symptoms, and review any imaging studies (MRI, CT, X-rays). This evaluation helps determine whether an epidural steroid injection is appropriate and which approach would be most beneficial.
Pre-Procedure Instructions:
- If sedation is required, you’ll need to fast for at least 6 hours before your appointment
- You may need to adjust certain medications, particularly blood thinners (aspirin, ibuprofen, anticoagulants)—Dr. Goyle will provide specific instructions
- Arrange transportation home if sedation will be used
- Wear comfortable, loose-fitting clothing
During Your Procedure:
The procedure is performed in our office and typically takes 15-30 minutes. You’ll be positioned comfortably, and the injection site will be cleaned and numbed with local anesthetic. Using fluoroscopic (X-ray) guidance, Dr. Goyle will carefully guide the needle to the target location, confirm placement, and deliver the medication. Most patients tolerate the procedure well with minimal discomfort.
After Your Procedure:
- You’ll be monitored briefly before discharge
- Some temporary soreness at the injection site is normal
- You may experience temporary numbness or weakness in your legs (for lumbar injections) due to the local anesthetic—this typically resolves within a few hours
- Most patients can return to light activities the same day, with a return to normal activities within 24-48 hours
- The full effect of the corticosteroid typically develops over several days to a week
- Follow-up appointments allow us to assess your response and adjust your care plan as needed
Why Choose Integrated Spine, Pain, and Wellness
Cleveland Clinic Training: Dr. Ashu Goyle completed his fellowship at the Cleveland Clinic—one of the nation’s top medical institutions. This elite training provides a foundation of expertise in interventional pain procedures.
Double Board Certification: Dr. Goyle is board-certified in both anesthesiology and interventional pain management, demonstrating advanced competency in pain treatment.
Image-Guided Precision: Every injection is performed using fluoroscopy or ultrasound guidance, ensuring accurate needle placement for optimal results.
Comprehensive Approach: Epidural steroid injections are one component of our complete spine care offerings. Depending on your needs, Dr. Goyle may recommend additional treatments or a combination approach.
Personalized Care: We take time to understand your specific situation, explain your options, and develop a treatment plan tailored to your needs and goals.
Our Complete Spine and Pain Care Offerings
Epidural steroid injections are one part of our comprehensive approach to spine and pain care. Depending on your condition and response to treatment, Dr. Goyle may recommend:
Interventional Procedures:
- Facet joint injections
- Medial branch blocks
- Sacroiliac joint injections
- Trigger point injections
Regenerative Medicine:
- Bone Marrow Aspirate Concentrate (BMAC) therapy
- Platelet-Rich Plasma (PRP) therapy
- Exosome therapy
- Autologous Conditioned Serum (Regenokine®)—Dr. Goyle is one of only nine physicians in the U.S. offering this treatment and the only provider in Arizona
Advanced Technology:
- MLS M8 Class IV Laser therapy for inflammation and pain
Our goal is to provide you with the most appropriate treatment—or combination of treatments—for your specific situation.
Dr. Ashu Goyle: Your Expert in Interventional Pain Management
Dr. Ashu Goyle founded Integrated Spine, Pain, and Wellness with a commitment to providing expert, personalized pain care. His credentials include:
- Double board certification in anesthesiology and interventional pain management
- Fellowship training at the Cleveland Clinic
- Years of experience performing image-guided interventional procedures
- One of only nine Regenokine® providers nationwide (the only provider in Arizona)
- Recognition as a Phoenix Magazine “Top Doc” (2011-2020)
Dr. Goyle’s approach combines technical expertise with a patient-centered philosophy. He takes time to understand your condition, explain your options, and deliver care with precision and compassion.
Schedule Your Consultation
If you’re experiencing back pain, neck pain, or radiating nerve pain, the first step is a consultation with Dr. Goyle. During your visit, we’ll evaluate your condition, review your imaging, discuss your options, and determine whether epidural steroid injections or another treatment approach may be appropriate for your situation.
Contact Integrated Spine, Pain, and Wellness today to schedule your consultation.
ARE YOU THE
Ideal Candidate?
If you’re an active person struggling with pain that limits your physical activities, PRP therapy may be the solution you’re seeking. It’s designed for those who want to address the root cause of their pain, not just mask symptoms. Whether it’s chronic back pain, chronic tendonitis, knee pain, or a lingering sports injury, PRP therapy may offer a path to recovery that aligns with your body’s natural healing processes.
Why Trust Dr. Goyle with Your Recovery?
Dr. Goyle stands out as a distinguished expert in regenerative medicine and orthobiologics, backed by an impressive foundation of training and experience. His journey in anesthesiology and pain management was honed at the prestigious Cleveland Clinic, a testament to his commitment to excellence in patient care. With double board certifications in anesthesiology and pain medicine, along with a rich background in research and various certifications in regenerative treatments, Dr. Goyle offers a depth of expertise that is rare in the field. He crafts personalized treatment plans aimed at active individuals, prioritizing the restoration of function and a swift return to the activities and lifestyles his patients cherish.
RECLAIM YOUR
Active Life with PRP Therapy
Don’t let pain keep you on the sidelines. Discover how PRP therapy may help you overcome injury, reduce pain, and enhance your body’s ability to heal—so you can return to the active lifestyle you cherish.
Get Started on Your Path to Recovery
Reach out to book your complimentary discovery call. This is your opportunity to explore how PRP therapy might be the natural and effective solution you need to maintain your active lifestyle.
Get Dr. Goyle's 5 Key Strategies for Pain Relief
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- Effective, long-term pain relief methods.
- Daily habits for a pain-free lifestyle.
- Holistic tips for overall wellness.
Sign up now for immediate access to life-enhancing pain management techniques. Don’t miss this chance to learn from an expert and take control of your well-being.
OUR COMMITMENT TO EXCELLENCE
Accreditations & Partnerships
The Interventional Orthobiologics Foundation
Institute For Functional Medicine
Cleveland Clinic
The American Board of Anesthesiologists
American Society of Anesthesiologists
American Society of Regional Anesthesia and Pain Medicine
American Society of Interventional Pain Physicians
The American Academy of Anti-Aging Medicine
Top Doctors
Discover the Science Behind Regenerative Medicine
As you consider regenerative medicine, you may be curious about the science that supports its effectiveness.
Our goal is to provide you with credible data and clinical studies that showcase how regenerative medicine works, so you can make an informed choice about your health.
Frequently Asked Questions
What conditions can epidural steroid injections help with?
Epidural steroid injections are commonly used for spine-related conditions that cause pain through nerve irritation or inflammation. This includes herniated discs, bulging discs, spinal stenosis, sciatica, radiculopathy (nerve root irritation), degenerative disc disease, and failed back surgery syndrome. During your consultation, Dr. Goyle will evaluate whether this treatment is appropriate for your specific condition.
How do epidural steroid injections work?
Epidural steroid injections deliver anti-inflammatory corticosteroid medication directly to the epidural space—the area surrounding your spinal cord and nerve roots. By reducing inflammation around irritated nerves, the injection may help decrease pain and improve function. The injection also contains local anesthetic, which may provide temporary immediate relief while the corticosteroid takes effect over the following days.
How long does it take to notice results?
The local anesthetic may provide temporary relief immediately after the injection. The corticosteroid typically takes several days to a week to reach its full effect. The duration of relief varies by individual—some patients experience relief lasting weeks to months, while others may benefit from a series of injections. Dr. Goyle will discuss realistic expectations based on your specific situation.
Are epidural steroid injections painful?
Most patients tolerate the procedure well. The injection site is numbed with local anesthetic before the procedure, which minimizes discomfort. You may feel pressure during the injection, and some patients experience brief discomfort as the medication is delivered. The entire procedure typically takes 15-30 minutes.
How many injections will I need?
The number of injections depends on your individual response. Some patients experience significant relief from a single injection, while others benefit from a series of two or three injections spaced several weeks apart. There are limits to how many steroid injections can be given in a specific time period. Dr. Goyle will discuss an appropriate treatment plan based on your response.
What are the potential risks?
Epidural steroid injections are generally safe when performed by an experienced physician using image guidance. Potential risks include temporary soreness at the injection site, headache, temporary increase in pain, and rare complications such as infection or nerve injury. Corticosteroid side effects may include temporary elevated blood sugar (important for diabetic patients), flushing, or sleep disturbance. Dr. Goyle will discuss potential risks specific to your situation during your consultation.
How long is the recovery?
Recovery is typically quick. Most patients can return to light activities the same day and normal activities within 24-48 hours. You may experience temporary soreness at the injection site. If sedation was used, you’ll need someone to drive you home. Specific post-procedure instructions will be provided.
Can epidural steroid injections be combined with other treatments?
Yes, epidural steroid injections are often part of a comprehensive treatment approach. Depending on your condition, Dr. Goyle may recommend combining injections with physical therapy, other interventional procedures, or regenerative treatments. The goal is to address your pain from multiple angles when appropriate.
Are epidural steroid injections covered by insurance?
Epidural steroid injections are commonly covered by insurance plans when medically indicated. Coverage varies by plan. Our team can help verify your benefits and discuss any out-of-pocket costs before your procedure.
How do I know if I'm a good candidate?
Good candidates typically have spine-related pain caused by conditions involving nerve irritation or inflammation, have not responded adequately to conservative treatments, and have imaging (MRI or CT) that correlates with their symptoms. During your consultation, Dr. Goyle will evaluate your specific situation and discuss whether epidural steroid injections are appropriate for you.
What qualifications does Dr. Goyle have?
Dr. Ashu Goyle is double board-certified in anesthesiology and interventional pain management. He completed his fellowship training at the Cleveland Clinic—one of the nation’s premier medical institutions. He has years of experience performing image-guided interventional procedures and has been recognized as a Phoenix Magazine “Top Doc” from 2011-2020. Dr. Goyle is also one of only nine physicians in the U.S. offering the Regenokine® treatment program.
Do you offer consultations before treatment?
Yes, every patient receives a thorough consultation before any procedure. During your consultation, Dr. Goyle will review your medical history, examine you, discuss your symptoms and goals, review imaging studies, and determine whether epidural steroid injections or another treatment approach is most appropriate for your situation.
